A Therapeutic Thoracoscopy

Jamieson, Daniel B.; Bose, Sonali; Feller‐Kopman, David; Imad, Melhem; Yarmus, Lonny

doi:10.1513/annalsats.201211-113cr

Cited by 2 publications

(7 citation statements)

References 6 publications

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“…A total of 95 articles published over a period of 63 years were included, representing a final sample of 196 patients with PA. Figure 1 shows the flow chart of the article selection process. [ 8 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 47 48 49 50 51 52 53 54 55 56 57 58 59 60 61 62 63 64 65 66 67 68 69 70 71 72 73 74 75 76 77 78 79 80 81 <...…”

Section: Resultsmentioning

confidence: 99%

“…Only nine cases[ 10 30 35 77 78 82 83 90 94 ] (4.6%) met the diagnostic criteria for primary amyloidosis (plasma cell proliferation, organ damage related to amyloidosis, positive Congo Red amyloid staining in some tissue, and evidence of amyloid light chain on electron microscopy). [ 10 ] Pleural biopsy was performed in 67 patient [(28 by closed pleural biopsy[ 18 30 33 34 38 39 41 42 45 47 49 55 60 61 88 ] and 30 by pleuroscopy (medical or surgical)[ 8 9 10 20 29 30 37 41 51 55 62 65 72 73 75 76 78 79 81 83 84 87 88 90 92 93 97 99 ], in 9 cases the type of biopsy was not detailed. [ 14 22 23 24 67 70 74 96 98 ]] Amyloid PE was confirmed in 56 patient [21 by closed pleural biopsy[ 18 30 33 34 42 45 47 49 60 61 ] and 29 by pleuroscopy;[ 8 …”

Section: Resultsmentioning

confidence: 99%

“…[ 10 ] Pleural biopsy was performed in 67 patient [(28 by closed pleural biopsy[ 18 30 33 34 38 39 41 42 45 47 49 55 60 61 88 ] and 30 by pleuroscopy (medical or surgical)[ 8 9 10 20 29 30 37 41 51 55 62 65 72 73 75 76 78 79 81 83 84 87 88 90 92 93 97 99 ], in 9 cases the type of biopsy was not detailed. [ 14 22 23 24 67 70 74 96 98 ]] Amyloid PE was confirmed in 56 patient [21 by closed pleural biopsy[ 18 30 33 34 42 45 47 49 60 61 ] and 29 by pleuroscopy;[ 8 9 10 20 29 30 37 41 51 55 62 65 72 73 75 76 ...…”

Section: Resultsmentioning

confidence: 99%

“…PE was bilateral in 59/107 patients (55%), right sided in 36 (34%)[ 8 9 11 14 17 20 22 27 29 32 33 34 37 41 42 43 45 48 51 55 56 65 67 76 79 83 86 88 91 94 99 101 ] and left sided in 12 (11%). [ 13 23 24 30 35 38 46 60 69 81 97 ] PE was not identified as unilateral or bilateral in 89 cases (45%).…”

Section: Resultsmentioning

confidence: 99%

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Characteristics of pleural effusion due to amyloidosis

Ferreiro¹,

Pou²,

Suárez-Antelo³

et al. 2023

Annals of Thoracic Medicine

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The characteristics of patients with pleural amyloidosis (PA) are poorly known. A systematic review was performed of studies reporting clinical findings, pleural fluid (PF) characteristics, and the most effective treatment of PA. Case descriptions and retrospective studies were included. The review included 95 studies with a total sample of 196 patients. The mean age was 63 years, male/female ratio was 1.6:1, and 91.9% of patients were >50 years. The most common symptom was dyspnea (88 patients). PF was generally serious (63%), predominantly lymphocytic, and with the biochemical characteristics of transudates (43.4%) or exudates (42.6%). Pleural effusion was generally bilateral (55%) and <1/3 of the hemithorax (50%), although in 21% pleural effusion (PE) exceeded 2/3. Pleural biopsy was performed in 67 patients (yield: 83.6%; 56/67) and was positive in 54% of exudates and 62.5% of unilateral effusions. Of the 251 treatments prescribed, only 31 were effective (12.4%). The combination of chemotherapy and corticosteroids was effective in 29.6% of cases, whereas talc pleurodesis was effective in 21.4% and indwelling pleural catheter in 75% of patients (only four patients). PA is more frequent in adults from 50 years of age. PF is usually bilateral, serous, and indistinctly a transudate or exudate. A pleural biopsy can aid in diagnosis if effusion is unilateral or an exudate. Treatments are rarely effective and there may be definitive therapeutic options for PE in these patients.

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Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

Section: Resultsmentioning

confidence: 99%

See 2 more Smart Citations

Characteristics of pleural effusion due to amyloidosis

Ferreiro¹,

Pou²,

Suárez-Antelo³

et al. 2023

Annals of Thoracic Medicine

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“…Pleural biopsies reveal extensive amyloid deposition (amyloidosis AL, lambda subtype) and diffuse inflammation. Talc poudrage is an effective treatment option to prevent the exudative effusion from re‐accumulating …”

Section: Congestive Heart Failure Hydrothoraxmentioning

confidence: 99%

Is there any role for thoracoscopy in the diagnosis of benign pleural effusions

Anevlavis

Varga

Nam

et al. 2019

Clinical Respiratory J

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Thoracoscopy in the endoscopy suite, has a high diagnostic yield of undiagnosed pleural effusions with minimal and mild complications. Whereas relatively minimal invasive techniques, such as thoracentesis, image-guided pleural biopsy or blind pleural biopsy, can yield sufficient cell or tissue material to establish the diagnosis of the underlying condition, more definite invasive diagnostic and therapeutic procedure, such as thoracoscopy, may be required for accurate sampling and diagnosis, and further provide real-time treatment options in same procedure. If thoracoscopy is considered the gold standard for the diagnosis is a fact in case. The current review aims to provide informations on thoracoscopy indications in benign pleural diseases according to up to date publications. K E Y W O R D Sbenign pleural effusion, empyema medical thoracoscopy, pleural infections, tuberculous pleural effusion 74 | ANEVLAVIS Et AL.

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A Therapeutic Thoracoscopy

Cited by 2 publications

References 6 publications

Characteristics of pleural effusion due to amyloidosis

Characteristics of pleural effusion due to amyloidosis

Is there any role for thoracoscopy in the diagnosis of benign pleural effusions

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